Hyperbaric Oxygen Therapy Treatment

Insufficient documentation is documentation that was incomplete, inaccurate or was missing from the medical records. Below is a list of the most common reasons CERT determined there was insufficient documentation that caused improper payments for HBO therapy treatments.

• HBO treatment plan
• HBO treatment records
• Wound records

Treatment Plan: HBO treatment plan should include atmospheric pressures, rest/air breaks, frequency and number of dives, blood glucose monitoring, wound assessments and evaluation of progress.

Treatment Records: should include start and stop times of the HBO treatment, documentation to support when blood glucose measurements are taken and the results (if applicable).

Wound Records: wound flow sheets supporting measurable signs of healing, wound measurements, subjective findings regarding the wound.

Related Content

• Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-03, Medicare National Coverage Determination (NCD) Manual, Chapter 1, Section 20.29, “Hyperbaric Oxygen Therapy”
• CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 32, Section 30, “Hyperbaric Oxygen (HBO) Therapy”
• CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 6, Section 20, “Outpatient Hospital Services”